Individual provider · Type 1 NPI

Shana Chacko, NP

Family Nurse Practitioner · Syosset, NY

NPI number 1962804963 Active

Practice location

55 Cold Spring Rd
Syosset, NY 11791-3108

Mailing address

247 Byrne Ave
Staten Island, NY 10314-4408

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF339024-1 (NY)
Family Nurse Practitioner 363LF0000X4704273933 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1962804963

Shana Chacko, NP's National Provider Identifier is 1962804963, issued on Sep 22, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syosset, NY. The record was last updated on Nov 3, 2014.